Nursing Assessment on Fall Risks and Bilirubin Specimens

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Questions and Answers

Which patient is at greatest risk for a fall?

A 55-year-old patient who has diabetes mellitus
A 34-year-old patient who is 6 hr postoperative
A 60-year-old patient who has moderate burns to his upper body
An 86-year-old patient who is 4 hr postoperative (correct)

What is a common factor in patients that may increase fall risk?

Patients with a history of hypertension
Patients with moderate burns
Patients with a high body mass index
Patients who have undergone surgery (correct)

Which age group is typically more susceptible to falls?

Patients aged 30 to 40 years
Patients aged 80 years and older (correct)
Patients aged 60 to 70 years
Patients aged 40 to 50 years

What physiological change in older adults increases the risk for falls?

Decreased muscle mass and strength (D) Signup and view all the answers

Which postoperative time frame is generally associated with higher fall risk?

Immediately after surgery (A) Signup and view all the answers

What is the appropriate action to ensure the integrity of a bilirubin specimen collected from a newborn with jaundice?

Turn off the ultraviolet light. (D) Signup and view all the answers

Why should the bilirubin specimen not be exposed to ultraviolet light?

It can degrade the bilirubin in the sample. (B) Signup and view all the answers

Which of the following would most likely compromise a bilirubin specimen?

Allowing the specimen to cool before processing. (D) Signup and view all the answers

What might be an incorrect method for obtaining a bilirubin sample from a newborn?

Collecting from the bend of the arm. (D) Signup and view all the answers

What is a recommended step after collecting a bilirubin specimen from a newborn?

Process the sample within one hour. (A) Signup and view all the answers

What is the best method to prevent bleeding from the venipuncture site after needle removal?

Apply pressure to prevent leakage of blood into the tissues. (A) Signup and view all the answers

Which technique does NOT contribute to reducing bleeding after venipuncture?

Using a cold pack on the site for swelling. (C) Signup and view all the answers

Which action is important immediately after removing a needle from a patient?

Instruct the patient to remain still while pressure is applied. (D) Signup and view all the answers

What common misconception about bleeding control after venipuncture might a patient have?

Bending the arm will always stop the bleeding. (C) Signup and view all the answers

What should a technician avoid doing during the venipuncture procedure to minimize bleeding risk?

Quickly inserting the needle into the vein. (D) Signup and view all the answers

What is an appropriate initial action for the technician when encountering a family expressing anger and hopelessness?

Listen when the family is ready to talk. (D) Signup and view all the answers

Which option reflects a misunderstanding of appropriate responses to grief expressed by a family?

Explain that anger is the first coping mechanism everyone experiences during grief. (B) Signup and view all the answers

When should the technician consider referring the family to the charge nurse?

If they express a need for emotional support beyond what the technician can provide. (B) Signup and view all the answers

What might be an ineffective way for the technician to assist the family dealing with grief?

Engage the family in small talk. (B) Signup and view all the answers

Which action is least likely to help a family struggling with feelings of anger and hopelessness?

Explaining the stages of grief to the family. (B) Signup and view all the answers

What is an important step to ensure accuracy in a 24-hour urine collection?

The specimen was allowed to stand for 8 hours following the final collection. (C) Signup and view all the answers

What should not be done with the final voiding of a 24-hour urine specimen?

It should be discarded. (D) Signup and view all the answers

Why is cleaning the meatus prior to each void important in urine collection?

To prevent contamination of the urine sample. (C) Signup and view all the answers

What is the proper storage condition for a 24-hour urine specimen before it is submitted for testing?

It should be refrigerated prior to being returned. (A) Signup and view all the answers

Which action is NOT part of the proper procedure for collecting a 24-hour urine specimen?

Disposing of any urine collected at random intervals. (B) Signup and view all the answers

What is the first step a patient care technician should take when hearing another patient in contact isolation calling for help?

Put on a gown and gloves. (A) Signup and view all the answers

Why is it important for the technician to wear a gown and gloves when responding to a patient in contact isolation?

To prevent cross-contamination. (D) Signup and view all the answers

If a patient care technician hears another patient in contact isolation calling for help, what action is NOT appropriate?

Entering the patient's room unprotected. (D) Signup and view all the answers

What should a technician do after putting on a gown and gloves before entering the room of a patient in contact isolation?

Enter the room to provide assistance. (A) Signup and view all the answers

Which scenario indicates a proper understanding of infection control by the patient care technician?

Wearing the proper PPE before responding to a call for help. (D) Signup and view all the answers

Flashcards

Highest fall risk patient?

The 86-year-old patient 4 hours postoperative has the highest fall risk due to their age and recent surgery.

Fall risk factors

Factors like age, recent surgery, and medical conditions can increase a patient's risk of falling. Post-op patients are often susceptible to falls due to pain, medication, or weakness.

Palliative care

Patient care focusing on comfort and quality of life, especially for patients with serious illnesses.